隐匿阴茎的包皮环切术——一个警示故事。
Circumcision in 'buried penis'--a cautionary tale.
作者信息
Sivakumar B, Brown A A, Kangesu L
机构信息
St Andrews Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK.
出版信息
Ann R Coll Surg Engl. 2004 Jan;86(1):35-7. doi: 10.1308/003588404772614669.
BACKGROUND
The aim of a circumcision is to remove sufficient foreskin from the penile shaft and preputial epithelium to uncover the glans. Removal of too much preputial skin may lead to an unsatisfactory cosmetic and functional result. Patients with a congenital anomaly known as 'buried penis' are particularly susceptible to this. In this condition, abnormal dartos fascial bands or muscle fibres tether the penile shaft and as a result conceal its true length.
CASE REPORT
A 5-year-old boy underwent circumcision but his 'buried penis' was not recognised by the surgeon pre-operatively. Unfortunately, his penile shaft was left almost entirely denuded of skin as a result. The wound required a full thickness graft. Follow-up at 1 year has so far been satisfactory.
CONCLUSIONS
This case highlights the importance of early recognition of a buried penis when considering circumcision. It demonstrates the abnormal anatomy of a buried penis and its management. It also provides a potential reconstructive option in cases of excess skin removal.
背景
包皮环切术的目的是从阴茎体和包皮上皮去除足够的包皮，以暴露龟头。切除过多的包皮皮肤可能导致不理想的外观和功能结果。患有先天性异常“隐匿阴茎”的患者尤其容易出现这种情况。在这种情况下，异常的肉膜筋膜带或肌纤维束缚阴茎体，从而掩盖其真实长度。
病例报告
一名5岁男孩接受了包皮环切术，但术前外科医生未识别出他的“隐匿阴茎”。不幸的是，结果他的阴茎体几乎完全没有皮肤覆盖。伤口需要全层植皮。到目前为止，1年的随访情况令人满意。
结论
该病例强调了在考虑包皮环切术时早期识别隐匿阴茎的重要性。它展示了隐匿阴茎的异常解剖结构及其处理方法。它还为皮肤切除过多的病例提供了一种潜在的重建选择。
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